Individual provider Active NPI

Vasilios Kountis, DO

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1437410024
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
276937 Issued in NY
Practice address
1317 3Rd Ave FL 7
New York, NY 10021
Phone
(212) 235-1265
Fax
(800) 615-2463
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 276937 NY Primary
Interventional Pain Medicine Physician 208VP0014X 25MB09681700 NJ

Addresses

Primary practice location

1317 3Rd Ave FL 7
New York, NY 10021

Mailing address

1317 3Rd Ave FL 7
New York, NY 10021-2957
Phone (212) 235-1265

Other practice location 1

155 E 76th St
New York, NY 10021-2810
Phone (212) 235-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001168 NY Practitioner - Pain ManagementPractitioner - Sports Medicine 9739493206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Sports Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

682 Metropolitan Ave
Staten Island, NY 10301-3432
Phone (718) 962-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB09681700NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vasilios Kountis DO, PLLC Current Accepting new patients
Vasilios Kountis DO, PLLC CurrentSince May 23, 2018 Accepting new patients

Locations

169 Madison Ave
New York, NY 10016
Phone (518) 516-5063

1317 3rd Ave
Fl 7
New York, NY 10021
Phone (212) 570-1816

Interoperability endpoints

  • Direct secure messaging: vkountis677935@nychhc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437410024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212957",
            "telephone_number": "212-235-1265",
            "fax_number": "800-615-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-235-1265",
            "fax_number": "800-615-2463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E 76th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212810",
            "country_code": "US",
            "telephone_number": "212-235-1265",
            "fax_number": "800-615-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUNTIS",
        "first_name": "VASILIOS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "276937",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB09681700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.